Alantar S A, Lefèvre B, Misipo E
Faculté de Chirurgie Dentaire, Paris.
Actual Odontostomatol (Paris). 1991 Mar;45(173):121-30.
The anesthesia technique described by AKINOSI in 1977, in Nigeria, shows certain advantages: According to the author, it has a percentage of efficacy, of about 95%. It permits an effective anesthesia of the inferior alveolar, lingual and buccal nerves to be obtained with a single injection. It has a psychological aspect which is of interest to the degree that it is carried out with the mouth closed, the patient thus being in a position of muscular and aponeurotic relaxation, which permits a nearly painless injection to be made. This technique has disadvantages which lead to a preference for the "Spix spinal" technique, each time that it is indicated; the onset is longer than the one at the Spix an average of 6 minutes (for all nerves) as seen in this study, but above all, it is a high vascular risk technic that can be conceived only if perfect knowledge of the pterygo-mandibular region has been gained so as to evaluate the vascular proximities, essentially the maxillary artery and the pterygoïd veinous plexas.
1977年由阿基诺西在尼日利亚描述的麻醉技术具有某些优点：据作者称，其有效率约为95%。通过单次注射就能有效麻醉下牙槽神经、舌神经和颊神经。它在心理层面也有可取之处，因为该操作是在闭口状态下进行的，患者此时处于肌肉和腱膜松弛状态，这使得注射几乎无痛。然而，该技术也存在一些缺点，这导致在每次有指征时人们更倾向于“斯皮克斯脊髓”技术；如本研究所示，其起效时间比斯皮克斯技术平均长6分钟（对所有神经而言），但最重要的是，它是一种血管风险较高的技术，只有在对翼下颌区域有充分了解以评估血管毗邻关系，尤其是上颌动脉和翼静脉丛的情况下才能采用。
